of enlisted soldiers. The APFT score also converts to promotion points which are used to in part to determine the eligibility of soldiers for promotion to a higher rank. Effective with the latest change to the Army's enlisted promotion doctrine, the number of promotion points awarded to Soldiers with a "promotable" status was changed. Soldiers seeking promotion from Specialist (E-4) to Sergeant (E-5) can achieve a maximum of 180 promotion points whereas a Soldier seeking promotion from Sergeant (E-5) to Staff Sergeant (E-6) can only achieve a maximum of 145 promotion points. Prior to May 2013, the scoring algorithm also included an extended scale, by which soldiers could earn more than 100 points in an event by performing better than the 100-point standard. However, use of such a scale is specifically forbidden in the current Army Field Manual. Under previous versions, in order for a soldier to earn a score of over 300, they must have obtained 100 points in each event, meaning that a soldier could not begin to use the extended scale for any one event until 100 points were reached in all three events. Scores above maximum could only be used locally in an unofficial capacity; official record scores could never exceed 300 points. Beyond the 100-point level, each additional push-up was one additional point, each additional sit-up was one additional point, and each six-second reduction in the run time was one additional point. For soldiers who have a medical or physical condition which them from being able to successfully participate in the two-mile run, alternate aerobic events are authorized. Scoring for alternate aerobic events is either GO or NO-GO (pass or fail) and is based on the gender and age of the individual. For the purposes of promotion, a soldier's score on an alternate event equals the average of their push-up and sit-up scores. Restrictions applicable to the APFT for soldiers with medical conditions (including pregnancy) or on physical profiles are stipulated in Army Regulation 40-501. For example, one stipulation is that "Once the [temporary] profile is lifted, the soldier must be given twice the time of the profile (but not more than 90 days) to train for the [next] APFT. Failure to pass two or more consecutive record APFTs can lead to separation from the Army, although this is not always the case. Soldiers who have failed an APFT are often put into a "remedial